Dr Kalyani Gavini, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Centreville, Illinois. Her current practice location is
6000 Bond Ave, Centreville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 332-2083.
Dr Kalyani Gavini is licensed to practice in Illinois (license number 036119523) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730214206.
Physician's Profile
Full Name | Dr Kalyani Gavini |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 6000 Bond Ave, Centreville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730214206
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901993120
- Enrollment ID: I20071103000095
Medical Identifiers
Medical identifiers for Dr Kalyani Gavini such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730214206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 2014023572 (Missouri) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 036119523 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kalyani Gavini allows following entities to bill medicare on her behalf.
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kalyani Gavini is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kalyani Gavini, MD 6000 Bond Ave, Centreville, IL 62207-2328 Ph: (618) 332-2083 | Dr Kalyani Gavini, MD 6000 Bond Ave, Centreville, IL 62207-2328 Ph: (618) 332-2083 |
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